PENGARUH GUIDED IMAGERY TERHADAP ANSIETAS PADA IBU HAMIL
Abstract
Ansietas sering ditemukan pada ibu hamil dengan tingkatan yang berbeda pada setiap wanita. Tujuan penelitian ini adalah untuk menganalisis guided imagery terhadap ansietas pada ibu hamil di poli rawat jalan Obstetri RSUD Dr. Moewardi, Surakarta. Penelitian ini bersifat eksperimental, menggunakan rancangan penelitian experimental pretest–posttest control group design. Pengambilan sampel dilakukan secara purposive sampling. Data yang diperoleh ditabulasi dan dianalisis untuk mengetahui perbedaan antara kelompok perlakuan (guided imagery) dan kelompok kontrol (terapi standar), dengan analisis uji t berpasangan bila distribusi data normal, dan uji Wilcoxon bila distribusi data tidak normal. Perbedaan data dicatat sebagai signifikan apabila nilai p menunjukkan < 0,05. Hasil penelitian menunjukkan bahwa guided imagery berpengaruh terhadap ansietas pada ibu hamil, dimana terjadi penurunan skor rerata Hamilton Anxiety Rating Scale (HARS) pre-posttest yang signifikan dengan nilai p = 0,000 (p < 0,05). Penelitian ini menunjukkan bahwa guided imagery berpengaruh menurunkan ansietas pada ibu hamil
Kata Kunci: ansietas, guided imagery, kehamilan
References
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36. Toker E, Kömürcü N. Effect of Turkish classical music on prenatal anxiety and satisfaction: A randomized controlled trial in pregnant women with pre-eclampsia. Complement Ther Med. 2017 Feb;30:1–9. https://doi.org/10.1016/j.ctim.2016.11.005
37. Davis K, Goodman SH, Leiferman J, Taylor M, Dimidjian S. A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety. Complement Ther Clin Pract. 2015 Aug;21(3):166–72. https://doi.org/10.1016/j.ctcp.2015.06.005
38. Sheffield KM, Woods-Giscombé CL. Efficacy, Feasibility, and Acceptability of Perinatal Yoga on Women’s Mental Health and Well-Being. J Holist Nurs. 2016 Mar 20;34(1):64–79. https://doi.org/10.1177/0898010115577976
39. Payne RA, Donagty M. Payne’s Handbook of Ralaxation techniques Fourth Edition. London: British Library; 2010.
40. Urech C, Fink NS, Hoesli I, Wilhelm FH, Bitzer J, Alder J. Effects of relaxation on psychobiological wellbeing during pregnancy: A randomized controlled trial. Psychoneuroendocrinology. 2010 Oct;35(9):1348–55. https://doi.org/10.1016/j.psyneuen.2010.03.008
41. Teixeira J, Martin D, Prendiville O, Glover V. The effects of acute relaxation on indices of anxiety during pregnancy. J Psychosom Obstet Gynecol. 2005 Dec 7;26(4):271–6. https://doi.org/10.1080/01674820500139922
2. Leach LS, Poyser C, Fairweather‐schmidt K. Maternal perinatal anxiety: A review of prevalence and correlates. Clin Psychol [Internet]. 2017 Mar 1;21(1):4–19. Available from: https://www.tandfonline.com/doi/full/10.1111/cp.12058 doi: 10.1111/cp.12058
3. Kang Y, Yao Y, Dou J, Guo X, Li S, Zhao C, et al. Prevalence and Risk Factors of Maternal Anxiety in Late Pregnancy in China. Int J Environ Res Public Health. 2016 May 4;13(5):468. https://doi.org/10.3390/ijerph13050468
4. Garcio MAR, Rodríguez AJM, Díez SMU, Real MCM. Analysis of the relationship between gestational risk and maternal anxiety. Prog Obstet Gynecol. 2010;53(7):273–279.
5. Goodman JH, Tyer-Viola L. Detection, Treatment, and Referral of Perinatal Depression and Anxiety by Obstetrical Providers. J Women’s Heal. 2010 Mar;19(3):477–90. https://doi.org/10.1089/jwh.2008.1352
6. Koen N, Brittain K, Donald KA, Barnett W, Koopowitz S, Maré K, et al. Maternal posttraumatic stress disorder and infant developmental outcomes in a South African birth cohort study. Psychol Trauma Theory, Res Pract Policy [Internet]. 2017 May;9(3):292–300. Available from: http://doi.apa.org/getdoi.cfm?doi=10.1037/tra0000234 doi: 10.1037/tra0000234
7. Rubertsson C, Hellström J, Cross M, Sydsjö G. Anxiety in early pregnancy: prevalence and contributing factors. Arch Womens Ment Health. 2014 Jun 18;17(3):221–8. https://doi.org/10.1007/s00737-013-0409-0
8. Ding X-X, Wu Y-L, Xu S-J, Zhu R-P, Jia X-M, Zhang S-F, et al. Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. J Affect Disord. 2014 Apr;159:103–10. https://doi.org/10.1016/j.jad.2014.02.027
9. Fenwick J, Gamble J, Nathan E, Bayes S, Hauck Y. Pre- and postpartum levels of childbirth fear and the relationship to birth outcomes in a cohort of Australian women. J Clin Nurs. 2009 Feb 12;18(5):667–77. https://doi.org/10.1111/j.1365-2702.2008.02568.x
10. Andersson L. Neonatal Outcome following Maternal Antenatal Depression and Anxiety: A Population-based Study. Am J Epidemiol. 2004 May 1;159(9):872–81. https://doi.org/10.1093/aje/kwh122
11. Yonkers KA, Gilstad-Hayden K, Forray A, Lipkind HS. Association of Panic Disorder, Generalized Anxiety Disorder, and Benzodiazepine Treatment During Pregnancy With Risk of Adverse Birth Outcomes. JAMA Psychiatry. 2017 Nov 1;74(11):1145. https://doi.org/10.1001/jamapsychiatry.2017.2733
12. Lind M, Nielsen T, Faunø P, Lund B, Christiansen SE. Free Rehabilitation Is Safe After Isolated Meniscus Repair. Am J Sports Med [Internet]. 2013 Dec 10;41(12):2753–8. Available from: http://journals.sagepub.com/doi/10.1177/0363546513505079 doi: 10.1177/0363546513505079
13. Einarson A, Fatoye B, Sarkar M, Lavigne SV, Brochu J, Chambers C, et al. Pregnancy Outcome Following Gestational Exposure to Venlafaxine: A Multicenter Prospective Controlled Study. Am J Psychiatry. 2001 Oct;158(10):1728–30. https://doi.org/10.1176/appi.ajp.158.10.1728
14. Veiby G, Daltveit AK, Engelsen BA, Gilhus NE. Fetal growth restriction and birth defects with newer and older antiepileptic drugs during pregnancy. J Neurol. 2014 Mar 22;261(3):579–88. https://doi.org/10.1007/s00415-013-7239-x
15. Galbally M, Snellen M, Walker S, Permezel M. Management of Antipsychotic and Mood Stabilizer Medication in Pregnancy: Recommendations for Antenatal Care. Aust New Zeal J Psychiatry. 2010 Feb 1;44(2):99–108. https://doi.org/10.3109/00048670903487217
16. Louik C, Kerr S, Mitchell AA. First-trimester exposure to bupropion and risk of cardiac malformations. Pharmacoepidemiol Drug Saf. 2014 Oct 28;23(10):1066–75. https://doi.org/10.1002/pds.3661
17. Nasiri S, Akbari H, Tagharrobi L, Tabatabaee AS. The effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression of pregnant women referred to health centers. J Educ Health Promot. 2018;7:41. https://doi.org/10.4103/jehp.jehp_158_16
18. Jallo N, Ruiz RJ, Elswick RK, French E. Guided Imagery for Stress and Symptom Management in Pregnant African American Women. Evidence-Based Complement Altern Med. 2014;2014:1–13. https://doi.org/10.1155/2014/840923
19. Flynn TA, Jones BA, Ausderau KK. Guided Imagery and Stress in Pregnant Adolescents. Am J Occup Ther. 2016 Sep 1;70(5):7005220020p1–7. https://doi.org/10.5014/ajot.2016.019315
20. Leach LS, Poyser C, Fairweather‐schmidt K. Maternal perinatal anxiety: A review of prevalence and correlates. Clin Psychol. 2017 Mar 1;21(1):4–19. https://doi.org/10.1111/cp.12058
21. Henderson J, Redshaw M. Anxiety in the perinatal period: antenatal and postnatal influences and women’s experience of care. J Reprod Infant Psychol. 2013 Nov;31(5):465–78. https://doi.org/10.1080/02646838.2013.835037
22. Milgrom J, Holt C, Holt CJ, Ross J, Ericksen J, Gemmill AW. Feasibility study and pilot randomised trial of an antenatal depression treatment with infant follow-up. Arch Womens Ment Health. 2015 Oct 24;18(5):717–30. https://doi.org/10.1007/s00737-015-0512-5
23. McGregor M, Coghlan M, Dennis C-L. The effect of physician-based cognitive behavioural therapy among pregnant women with depressive symptomatology: a pilot quasi-experimental trial. Early Interv Psychiatry. 2014 Nov;8(4):348–57. https://doi.org/10.1111/eip.12074
24. Thomas N, Komiti A, Judd F. Pilot early intervention antenatal group program for pregnant women with anxiety and depression. Arch Womens Ment Health. 2014 Dec 30;17(6):503–9. https://doi.org/10.1007/s00737-014-0447-2
25. Hall HG, Beattie J, Lau R, East C, Anne Biro M. Mindfulness and perinatal mental health: A systematic review. Women and Birth. 2016 Feb;29(1):62–71. https://doi.org/10.1016/j.wombi.2015.08.006
26. Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R. Effectiveness of a Mindfulness-Based Childbirth Education Pilot Study on Maternal Self-Efficacy and Fear of Childbirth. J Midwifery Womens Health. 2014 Mar;59(2):192–7. https://doi.org/10.1111/jmwh.12075
27. Shulman B, Dueck R, Ryan D, Breau G, Sadowski I, Misri S. Feasibility of a mindfulness-based cognitive therapy group intervention as an adjunctive treatment for postpartum depression and anxiety. J Affect Disord. 2018 Aug;235:61–7. https://doi.org/10.1016/j.jad.2017.12.065
28. Yazdanimehr R, Omidi A, Sadat Z, Akbari H. The Effect of Mindfulness-integrated Cognitive Behavior Therapy on Depression and Anxiety among Pregnant Women: a Randomized Clinical Trial. J Caring Sci. 2016 Sep 1;5(3):195–204. https://doi.org/10.15171/jcs.2016.021
29. Sockol LE. A systematic review and meta-analysis of interpersonal psychotherapy for perinatal women. J Affect Disord. 2018 May;232:316–28. https://doi.org/10.1016/j.jad.2018.01.018
30. Toosi M, Akbarzadeh M, Ghaemi Z. The Effect of Relaxation on Mother’s Anxiety and Maternal–Fetal Attachment in Primiparous IVF Mothers. J Natl Med Assoc. 2017;109(3):164–71. https://doi.org/10.1016/j.jnma.2017.03.002
31. van der Zwan J, Huizink A, Lehrer P, Koot H, de Vente W. The Effect of Heart Rate Variability Biofeedback Training on Mental Health of Pregnant and Non-Pregnant Women: A Randomized Controlled Trial. Int J Environ Res Public Health. 2019 Mar 23;16(6):1051. https://doi.org/10.3390/ijerph16061051
32. Narita Y, Shinohara H, Kodama H. Resting Heart Rate Variability and the Effects of Biofeedback Intervention in Women with Low-Risk Pregnancy and Prenatal Childbirth Fear. Appl Psychophysiol Biofeedback. 2018 Jun 23;43(2):113–21. https://doi.org/10.1007/s10484-018-9389-1
33. Jallo N, Cozens R, Smith MW, Simpson RI. Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women. Holist Nurs Pract. 2013 May;27(3):129–39. https://doi.org/10.1097/HNP.0b013e31828b6270
34. García González J, Ventura Miranda MI, Requena Mullor M, Parron Carreño T, Alarcón Rodriguez R. Effects of prenatal music stimulation on state/trait anxiety in full-term pregnancy and its influence on childbirth: a randomized controlled trial. J Matern Neonatal Med. 2018 Apr 18;31(8):1058–65. https://doi.org/10.1080/14767058.2017.1306511
35. Aba YA, Avci D, Guzel Y, Ozcelik SK, Gurtekin B. Effect of music therapy on the anxiety levels and pregnancy rate of women undergoing in vitro fertilization-embryo transfer: A randomized controlled trial. Appl Nurs Res. 2017 Aug;36:19–24. https://doi.org/10.1016/j.apnr.2017.05.005
36. Toker E, Kömürcü N. Effect of Turkish classical music on prenatal anxiety and satisfaction: A randomized controlled trial in pregnant women with pre-eclampsia. Complement Ther Med. 2017 Feb;30:1–9. https://doi.org/10.1016/j.ctim.2016.11.005
37. Davis K, Goodman SH, Leiferman J, Taylor M, Dimidjian S. A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety. Complement Ther Clin Pract. 2015 Aug;21(3):166–72. https://doi.org/10.1016/j.ctcp.2015.06.005
38. Sheffield KM, Woods-Giscombé CL. Efficacy, Feasibility, and Acceptability of Perinatal Yoga on Women’s Mental Health and Well-Being. J Holist Nurs. 2016 Mar 20;34(1):64–79. https://doi.org/10.1177/0898010115577976
39. Payne RA, Donagty M. Payne’s Handbook of Ralaxation techniques Fourth Edition. London: British Library; 2010.
40. Urech C, Fink NS, Hoesli I, Wilhelm FH, Bitzer J, Alder J. Effects of relaxation on psychobiological wellbeing during pregnancy: A randomized controlled trial. Psychoneuroendocrinology. 2010 Oct;35(9):1348–55. https://doi.org/10.1016/j.psyneuen.2010.03.008
41. Teixeira J, Martin D, Prendiville O, Glover V. The effects of acute relaxation on indices of anxiety during pregnancy. J Psychosom Obstet Gynecol. 2005 Dec 7;26(4):271–6. https://doi.org/10.1080/01674820500139922
Published
2023-09-30
How to Cite
KUSUMASARI, Dilla; FANANI, Mohammad; SEPTIAWAN, Debree.
PENGARUH GUIDED IMAGERY TERHADAP ANSIETAS PADA IBU HAMIL.
Medika Kartika : Jurnal Kedokteran dan Kesehatan, [S.l.], v. 6, n. 3, p. 251-260, sep. 2023.
ISSN 2655-6537.
Available at: <http://medikakartika.unjani.ac.id/medikakartika/index.php/mk/article/view/498>. Date accessed: 03 july 2024.
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